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Now that we’ve gotten the choosing a qualified overseas plastic surgeon out of the way, let’s move on to some of the other variables that will need to be considered when you’re deciding whether or not having a cosmetic procedure overseas.

From ancient Greece to Egypt, Europe to the Far East, our ancestors have a vast history of traveling to some mineral hot spring or another in search of healing and greater vitality. Centuries later, not much has changed—except now the act of traveling to seek out medicinal benefit is called “medical tourism” and it’s a booming business—$439 billion dollars per year according to recent numbers. And while today’s industry is more likely to attract those seeking surgeries or medical procedures than those seeking a simple spa treatment, the principle is the same.

Pressing questions like “do you brunch?” and “do you like animals?” are vitally important when judging the merits of a human being, but in choosing a plastic surgeon you’re going to have to go even further. So here’s what you do.

Anesthesia is medication administered by an anesthesiologist prior to surgery to control pain during surgery or a procedure. Board-certified plastic surgeon, Dr. Constantino Mendieta describes three types of anesthesia used depending on the procedure.

“People use various terms such as local anesthesia, awake anesthesia, general anesthesia. But the bottom line is this, if you are fully awake with no medication then you have just got local anesthesia in there,” explains Dr. Mendieta.

It is human nature to strive for perfection, be it in our careers, education, and even when it comes to our appearance. However, there are times the desire to achieve so-called ‘perfection’ when it comes to our outward appearance crosses into unhealthy territory - one where an individual is preoccupied with self-perceived defects or flaws which are either unnoticeable by others or are viewed by others as variations of what can only be considered normal. This may be part and parcel to a disorder referred to as Body Dysmorphic Disorder (BDD) or Body Dysmorphia.